Immediate Weight Bearing of Plated Both-Bone Forearm Fractures in the Poly-Trauma Patient is Safe

Both Bone fracture with immediate Weight Bearing (WB) complication rates at a level 1 hospital. A weight bearing score (WB) was created to stratify lower extremity injuries and their weight bearing limitations: WB as tolerated- 0; Partial WB- 1; Non-WB- 2. Each lower extremity was graded based on its weight bearing recommendation and a sum score of both lower extremities was recorded. Lower extremity limbs without injury were scored as weight bearing as tolerated. This score was designed to reflect the expected amount of stress the forearm fixation would experience due to the increased reliance on upper extremity weight bearing with mobilization. 213 patients were included in the study. The primary outcome was a composite of post-operative complications, which included deep surgical site infection, instrumentation failure, and a non-union.

在一级医院中，对伴有即时负重（WB）并发症的骨骨折进行评估，并统计其发生率。为对下肢损伤及其负重限制进行分层，创建了负重评分（WB）系统：可耐受负重为0分；部分负重为1分；非负重为2分。每条下肢根据其负重推荐进行评级，并记录两条下肢的总评分。无损伤的下肢被评定为可耐受负重。该评分旨在反映由于活动时对上肢负重的依赖性增加，前臂固定将承受的预期应力量。研究纳入了213名患者。主要结局指标为术后并发症的综合指标，包括深部手术部位感染、器械故障和骨不连。